| NPI | 1205261682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IL 209.010580) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 198.000527) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2022-03-16 |